1.简单
What is closed-loop communication?
- ACommunication that only happens in a closed room
- BWriting every message in the patient’s chart only
- CSending a message to the team without waiting for any reply or confirmation
- DThe receiver repeats the message back and the sender confirms it is correct
2.简单
During a hospital fire evacuation, where are patients usually moved first?
- ADownward, using the elevators
- BStraight out of the building, whatever their condition
- CHorizontally, through fire doors to a safe area on the same floor
- DUpward, to the roof of the building where helicopters can reach them
3.简单
Why do hospital electrical devices have three-prong plugs?
- AThe third prong grounds the device and carries stray current safely away
- BThe third prong stops the plug from being pulled out by accident
- CThe third prong lets the device draw a higher voltage from the wall socket
- DThe third prong connects the device to a backup battery
4.中等
病房暴发诺如病毒感染期间,工作人员在护理患者后应采用哪种手卫生方法?
- A用肥皂和水洗手
- B戴过手套就不需要手卫生
- C仅使用酒精速干手消毒剂
- D仅用纸巾擦手
5.中等
An adult with hepatitis A is incontinent of stool. Which precautions are used?
- AAirborne precautions in a negative-pressure room with the door closed
- BContact precautions in addition to standard precautions
- CA protective environment with filtered air
- DDroplet precautions with a surgical mask
6.中等
A nurse finds a used needle in a patient’s bed linen. What should the nurse do?
- AFold it into the linen and send it to the laundry
- BRecap it with two hands before throwing it away
- CPick it up by the hub or with forceps, put it in a sharps container and report it
- DLeave it where it is for the housekeeping staff to remove later in the day
7.困难
An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?
- ADisciplining staff who are seen not cleaning their hands, with no other change
- BA single poster about hand hygiene placed in the staff room
- CA combined approach with education, hand rub at every bedside, regular audits and feedback
- DRemoving all sinks so staff must use hand rub
8.困难
A competent adult patient with pneumonia wants to leave the hospital against medical advice. What should the nurse do?
- AExplain the risks, notify the provider and follow the policy for leaving against advice
- BApply wrist restraints until the provider arrives to speak with the patient
- CLock the doors so the patient cannot leave
- DHide the patient’s clothes and belongings so that they cannot leave the ward
答案
- 1. D · The receiver repeats the message back and the sender confirms it is correct
- 2. C · Horizontally, through fire doors to a safe area on the same floor
- 3. A · The third prong grounds the device and carries stray current safely away
- 4. A · 用肥皂和水洗手
- 5. B · Contact precautions in addition to standard precautions
- 6. C · Pick it up by the hub or with forceps, put it in a sharps container and report it
- 7. C · A combined approach with education, hand rub at every bedside, regular audits and feedback
- 8. A · Explain the risks, notify the provider and follow the policy for leaving against advice
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